HomeMy WebLinkAbout04-1566Form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 164817404
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer NELSON C BYERS
1441
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
~ /,./??,z(
Residence
PO BOX 153
GRANTHAM, PA 17027-0153
IivIPORTANT RELEASE INFORFIATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
1040 02/28/1231 180-50-5615 05/~6/2003 06/25/2013
Unpaid Balance
of Assessment
(f)
5908.95
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 5908.95
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 26th day of March 2004
Signa~ ,~ Title
fo~~ ~). ~2~';~/,,7.~, ACS 23-00-0008
(800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Rul. 71-466, 1971 - 2 C.B. 409)
Form &68(¥)(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X